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Multiple Choice

Facet syndrome is typically aggravated by which combination of movements?

Movements that load and compress the facet joints provoke facetogenic pain. Extending the spine pushes the facet surfaces together, increasing joint contact and load. Adding rotation further jams the articular surfaces on the involved side, amplifying impingement and soreness. Flexion tends to open the facets and often relieves this type of pain, while abduction isn’t the primary provocative combination for facet joints. So the combination of extension with rotation best reproduces the symptoms of facet syndrome.

Movements that load and compress the facet joints provoke facetogenic pain. Extending the spine pushes the facet surfaces together, increasing joint contact and load. Adding rotation further jams the articular surfaces on the involved side, amplifying impingement and soreness. Flexion tends to open the facets and often relieves this type of pain, while abduction isn’t the primary provocative combination for facet joints. So the combination of extension with rotation best reproduces the symptoms of facet syndrome.